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Human Chorionic Gonadotropin (hCG), Qualitative — Pregnancy Test

Published: August 9, 2026Updated: August 17, 2026

A pregnancy test checks a blood or urine sample for human chorionic gonadotropin (hCG), a hormone produced during pregnancy.

Quick summary

["A positive result usually indicates pregnancy, while a negative result may mean you are not pregnant or the test was performed too early."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
64711-5
Short code
Pregnancy last W Mo PhenX
Synonyms
Pregnancy last W Mo PhenX
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
0.5 N/A – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
phenx
CPT
84484
SNOMED
302774002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This test measures human chorionic gonadotropin (hCG) in a laboratory sample. hCG is produced by the developing placenta after implantation, and its detection is the basis of most pregnancy tests.

Why might I need this test?

A pregnancy test may be used to confirm a missed period, assess possible early pregnancy, or confirm pregnancy before taking a medication or procedure. It may also be used in the evaluation of certain pregnancy-related conditions.

How is the test performed?

A laboratory professional analyzes a blood or urine sample for hCG using a validated test method. The result is generally reported as positive or negative, although some laboratories also measure the amount of hCG when needed.

How do I prepare for the test?

Follow any instructions provided by the laboratory or ordering clinician. If a urine test is requested, using a first-morning urine sample may improve detection of early pregnancy, and drinking excessive fluids beforehand should be avoided.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive result strongly suggests that hCG is present and that pregnancy is likely. A negative result may indicate that pregnancy is not present, but testing too early can produce a false-negative result. Unexpected or changing results should be discussed with a healthcare professional, who may recommend repeat testing or additional evaluation.

Short name

Pregnancy test

Frequently asked questions

Does a positive pregnancy test always confirm pregnancy?
A positive result is highly suggestive of pregnancy, but rare false-positive results or early pregnancy loss can make follow-up testing necessary. Your clinician can interpret the result with your symptoms and medical history.
Can a pregnancy test be negative even if I am pregnant?
Yes. If the test is performed soon after implantation, too little hCG may be present to be detected. Repeating the test after a short interval may clarify the result.
Which type of pregnancy test is most accurate?
A blood test can detect very low hCG levels and is often more sensitive at the earliest stage of pregnancy. Urine tests are widely used and may be most reliable when performed after a missed period, with a first-morning sample.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy